To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in GeneralCourt assembled:

The undersigned legislators and/or citizens respectfully petition for the passage of the accompanying bill:

An Act clarifying the determination of need threshold.

_______________

PETITION OF:

Name:

District/Address:

Bruce E. Tarr

First Essex and Middlesex

Pam Richardson

6th Middlesex

David M. Nangle

17th Middlesex

Charles A. Murphy

21st Middlesex

Thomas A. Golden, Jr.

16th Middlesex

The Commonwealth of Massachusetts

_______________

In the Year Two Thousand and Nine

_______________

An Act clarifying the determination of need threshold.

Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority of the same, as follows:

SECTION 1. Section 25B of chapter 111 of the general laws is hereby amended by inserting within the definition of "expenditure minimum with respect to substantial capital expenditures'' the following:

A.After the words “unless the expenditures and acquisitions are at least $25,000,000,” the following:- “; or will total at least $25,000,000 when aggregated over a five year period”

B. Prior to the last sentence, the following:- “Expenditures and acquisitions of at least $5M in connection with new or expanded outpatient services not otherwise subject to determination of need that are anticipated to be implemented during a rolling three year period shall be reported annually to the department and updated as appropriate.”

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